Name {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Other names under which you have attended school or been employed {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Cell Phone {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Home Phone {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Email {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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What position are you applying for? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Address {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Resume {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Date of Birth {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Social Security Number {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Section
If yes, what is your current job title and department? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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If yes, name and relationship to you {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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If yes, please provide Company and Position held {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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State of Issue {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Drivers License Number {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Expiration Date {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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If YES, state violation(s) and briefly explain {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Employment History
Employer {binding ItemNumber}
Employed From {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Employed To {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Final Salary or Hourly Wage {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Company Name and Address {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Title {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Supervisor Name {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Phone {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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If Part Time, number of hours per week {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Primary Duties {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Reason for Leaving {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Education
School {binding ItemNumber}
Name of School {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Location of School {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Degree Received {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Major {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Number of Years Completed {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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References
Reference {binding ItemNumber}
Name {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Company {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Title {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Phone {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Email {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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PLEASE READ CAREFULLY AND SIGN THAT YOU UNDERSTAND AND ACCEPT THIS INFORMATION.
I certify that the information on this application and its supporting documents is accurate and complete.
I understand and agree that failure to fully complete the form, or misrepresentation or omission of facts represents grounds for elimination from consideration for employment, or termination after employment if discovered at a later date. I authorize Kirkland’s Pest Control, LLC to investigate, without liability, all statements contained in this application and supporting materials. I authorize references and former employers, without liability, to make full response to any inquiries in connection with this application for employment. If requested, I agree to submit to a physical exam, criminal and credit background investigation, and/or screening for illegal substances upon conditional offer of employment.
I understand that this document is NOT an offer of employment, and that an offer of employment, if tendered, does NOT constitute a contract for continued guaranteed employment. I understand that staff employees of Kirkland’s Pest Control, LLC serve at-will, and the employment relationship may be terminated at any time by either party, or any or no reason, other than a reason prohibited by law.
If employed, I will be required to furnish proof of eligibility to work in the United States and to comply with company and departmental regulations. I understand that if employed on a temporary basis, I would be paid for hours worked only, and would be ineligible for benefits including paid time off. I understand that the first THREE MONTHS of regular employment represent a provisional period, during which I would not be eligible for benefits and during which time I may be terminated without right of appeal.
By Typing in your Name you acknowledge and undestand the terms of this application. {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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FOR OFFICE USE ONLY:
Background Check Completed {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Background Check Clear {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Driving Record Check Completed {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Driving Record Check Clear {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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